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HomeMy WebLinkAbout2829 RANCHO RIO CHICO; ; CB030615; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-04-2003 Plumbing Permit Permit No: CB030615 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2829 RANCHO RIO CHICO CBAD PLUM Status: Parcel No: 2226121600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: COOK RESIDENCE Inspect Area: GAS & ELECTRIC FOR BBQ & POND Applicant: PRO EARTH LANDSCAPE INC STER 2210 ENCINITAS BLVD ENCINITAS CA 92024 760 633-3120 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Owner: COOK BRYON D 2829 RANCHO RIO CHICO CARLSBAD CA 92009 ISSUED 03/04/2003 MDP 03/04/2003 03/04/2003 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $0.00 Balance Due: Inspector. Date: PROVAL --2,(ro Clearance: $47.00 NOTICE: Please take NOTICE that approval of your project includes the "lmpositionff of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any in I N imilr t fii rvi I rwi FOR OFFICE USE ONLY ,,,.-- PLAN CHECK No.o:srG ( s PERMIT APPLICATION CITV OF CARLSBAD BUILDING DEPARTMENT EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date _______________ _ Business Name (at this address) legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name Address State/Zip Telephone# Fax# Name Address City State/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt therefrom, and the basis for the alleged Any violation of Section 7031 .5 by any a pllcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$ 500]). State license # _J....._.6._.X..._.3'J-"&'--2.---license Class -~-2.~_f~-----City State/zi· J.l!Zone # City Business license 11 201{, S Designer Name State license # Address 8~ YLQ!iK~S;:;®;;:;o;:;M;;el;;;:M!;;::;U;::;;;;;TI;;:O;;N :;;;::;;:;;:;;....._ ..,,._ ......... City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of t e work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performan=J:e of the work for which this permit is issued. My worker's compensation insurance arrier and policy number are: /. ! Insurance Company.p.,...u...,u.J......_...,._,""-''-4='-"-''-"'....,.=.:..-1....,i..;'-'--'"'-'-""-1-&->~-'--'"-"...,..C..1'\olicy No. 46-::}:"Dk-xpiration Date ~/ LO"$ (THIS SECTION NE D-OT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS)/ 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California. ARNING: Failure to Hcure worlcera' compensation coverage la unlawful, and ahan aubject an employer to criminal penaltlea and civil flnea up to ona hundred ousand dollar• ($10 , ), In addl lo t h c t of compensation, damages aa provided for In Section 706 of the L de, lnteraat and attomay'a fees. I hereby affirm that I am exempt from the Contractor's license law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's license law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES O NO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. ~QN.srnugTtQ!'t !,.Etl!illl!G..~4!;1'{C'1: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit Is not commenced within 180 days o the date of such permit or if the building or work authorized by such permit Is suspended or abandoned -......_/t any tir after the work is commen d for a period f 8 da (Section 106.4.4 Uniform Building Code). ~ .}\. APPLICI' ·s s1GNA TURE ---f.,JL-""<!~--'-J"'4,;_j.t--L.P+,L+,;'-V..i...=----------\°"TE -~~"th-~_,,,,-/o. ... ...,i~------- wH1TE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/09/2003 Permit# CB030615 Title: COOK RESIDENCE Description: GAS & ELECTRIC FOR BBQ & POND Type: PLUM Sub Type: Job Address: 2829 RANCHO RIO CHICO Suite: Lot 0 Location: APPLICANT PRO EARTH LANDSCAPE INC Owner: COOK BRYON D Remarks: Total Time: CD Description 29 Final Plumbing 39 Final Electrical f_ Comm,o, Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: PD --- Requested By: MARCUS Entered By: BINSPECT 03/05/2003 21 Underground/Under Floor AP PD GAS TO BBO/FIREPIT 03/05/2003 31 Underground/Conduit-Wiring AP PD TO POND/BBQ